Individual
CHANNDARA THACH ASLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA059668
PA
363A00000X
Physician Assistant
PA 1153
AL
363A00000X
Physician Assistant
Primary
—
SC
Other
Enumeration date
06/28/2016
Last updated
10/28/2025
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